DEBRA ERTOLA LPN
NPI 1992117774
Licensed Practical Nurse in Mastic, NY
- Individual
- Female
- Licensed Practical Nurse
About DEBRA ERTOLA
This page provides the complete NPI Profile along with additional information for Debra Ertola, a provider established in Mastic, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1992117774 assigned on May 2014. The practitioner's primary taxonomy code is 164W00000X with license number 227970-1 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1992117774 Verify this NPI
- Provider Name
- DEBRA ERTOLA LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7 DREAMLAND ST MASTIC, NY 11950
- Location Phone
- (631) 255-6078
- Mailing Address
- 7 DREAMLAND ST MASTIC, NY 11950
- Mailing Phone
- (631) 255-6078
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-28-2014
- Last Update Date
- 05-28-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 227970-1
- License State
- NY
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992117774, enumerated as an "individual" on May 28, 2014.
The provider is located at 7 DREAMLAND ST MASTIC, NY 11950 and the phone number is (631) 255-6078.
Licensed Practical Nurse with taxonomy code 164W00000X.
